CHANGES IN MATERNAL AND CHILD MORTALITY RATES IN THREE ISOLATED GAMBIAN VILLAGES OVER TEN YEARS
As an adjunct to the general nutrition research programme, the MRC Dunn Nutrition Unit has provided for the past 10 years a continuous medical service to three adjacent rural Gambian villages. There have been substantial reductions in annual childhood mortality rates. Perinatal mortality fell from 1...
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| Veröffentlicht in: | The Lancet (British edition) 1984-10, Vol.324 (8408), p.912-914 |
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| container_title | The Lancet (British edition) |
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| creator | Lamb, W.H. Lamb, ColetteM.B. Foord, FrancesA Whitehead, R.G. |
| description | As an adjunct to the general nutrition research programme, the MRC Dunn Nutrition Unit has provided for the past 10 years a continuous medical service to three adjacent rural Gambian villages. There have been substantial reductions in annual childhood mortality rates. Perinatal mortality fell from 109·6 to 45·5 per 1000 births, infant mortality from 148·5 to 24·5 per 1000 live births, and mortality in children aged 1-4 years from 109·1 to 13·3 per 1000. There have been no pregnancy-related maternal deaths in the community for 8 years; 16 could have been expected given current estimates of maternal mortality elsewhere in rural Gambia. Of all the health and nutritional interventions introduced the single most important factor has apparently been the on-the-spot, 24 h availability of a physician or qualified midwife. |
| doi_str_mv | 10.1016/S0140-6736(84)90664-0 |
| format | Article |
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There have been substantial reductions in annual childhood mortality rates. Perinatal mortality fell from 109·6 to 45·5 per 1000 births, infant mortality from 148·5 to 24·5 per 1000 live births, and mortality in children aged 1-4 years from 109·1 to 13·3 per 1000. There have been no pregnancy-related maternal deaths in the community for 8 years; 16 could have been expected given current estimates of maternal mortality elsewhere in rural Gambia. Of all the health and nutritional interventions introduced the single most important factor has apparently been the on-the-spot, 24 h availability of a physician or qualified midwife.</description><subject>Air. Soil. Water. Waste. Feeding</subject><subject>Biological and medical sciences</subject><subject>Child mortality</subject><subject>Children</subject><subject>Environment. 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Soil. Water. Waste. Feeding</topic><topic>Biological and medical sciences</topic><topic>Child mortality</topic><topic>Children</topic><topic>Environment. Living conditions</topic><topic>Health services</topic><topic>Infant mortality</topic><topic>Maternal mortality</topic><topic>Medical sciences</topic><topic>Mortality</topic><topic>Nutrition</topic><topic>Nutrition research</topic><topic>Pregnancy</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lamb, W.H.</creatorcontrib><creatorcontrib>Lamb, ColetteM.B.</creatorcontrib><creatorcontrib>Foord, FrancesA</creatorcontrib><creatorcontrib>Whitehead, R.G.</creatorcontrib><collection>Pascal-Francis</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Newsstand Professional</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>The Lancet (British edition)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lamb, W.H.</au><au>Lamb, ColetteM.B.</au><au>Foord, FrancesA</au><au>Whitehead, R.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CHANGES IN MATERNAL AND CHILD MORTALITY RATES IN THREE ISOLATED GAMBIAN VILLAGES OVER TEN YEARS</atitle><jtitle>The Lancet (British edition)</jtitle><date>1984-10-20</date><risdate>1984</risdate><volume>324</volume><issue>8408</issue><spage>912</spage><epage>914</epage><pages>912-914</pages><issn>0140-6736</issn><eissn>1474-547X</eissn><coden>LANCAO</coden><abstract>As an adjunct to the general nutrition research programme, the MRC Dunn Nutrition Unit has provided for the past 10 years a continuous medical service to three adjacent rural Gambian villages. 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| identifier | ISSN: 0140-6736 |
| ispartof | The Lancet (British edition), 1984-10, Vol.324 (8408), p.912-914 |
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| source | Elsevier ScienceDirect Journals |
| subjects | Air. Soil. Water. Waste. Feeding Biological and medical sciences Child mortality Children Environment. Living conditions Health services Infant mortality Maternal mortality Medical sciences Mortality Nutrition Nutrition research Pregnancy Public health. Hygiene Public health. Hygiene-occupational medicine Tropical medicine |
| title | CHANGES IN MATERNAL AND CHILD MORTALITY RATES IN THREE ISOLATED GAMBIAN VILLAGES OVER TEN YEARS |
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